针刺特定穴配合中药补肾法治疗椎动脉型颈椎病临床观察

摘要

ObjectiveTo investigate the clinical efficacy of acupuncture at specific points plus kidney-reinforcing Chinese herbal medicine in treating cervical spondylotic vertebral arteriopathy (liver-kidney deficiency type).MethodNinety patients with cervical spondylotic vertebral arteriopathy (liver-kidney deficiency type) were allocated, using a random number table, to a treatment group of 45 cases and a control group of 45 cases. One case dropped out in the control group. The treatment group received acupuncture at Baihui(GV20), Dazhui(GV14), Houxi(SI3), Sanyinjiao(SP6), Taixi(KI3) and Xuanzhong(GB39) plus oral administration of six ingredients with rehmanniaplus radix puerariae formula and the control group, oral administration of six ingredients with rehmannia plus radix puerariae formula alone. The clinical therapeutic effects were evaluated after eight consecutive weeks of treatment.ResultThe total efficacy rate and the cure rate were 91.1% and 62.2%, respectively, in the treatment group and 77.3% and 34.1%, respectively, in the control group; there were statistically significant differences between the two groups (P<0.05). The therapeutic effect was better in the treatment group than in the control group. After treatment, the difference values ofthe vertigo severity, frequency and duration, headache, neck and shoulder pain, and life and work scores on the scale werehigher in the treatment group than in the control group (P<0.05).ConclusionAcupuncture at specific points plus Chinese herbal medicine is more effective than Chinese herbal medicine alone in treating cervical spondylotic vertebral arteriopathy (liver-kidney deficiency type).%目的：观察针刺特定穴配合中药补肾法治疗椎动脉型颈椎病(肝肾不足型)的临床疗效。方法将90例椎动脉型颈椎病(肝肾不足型)患者按随机数字表法随机均分为治疗组45例、对照组45例，对照组有1例脱落病例。治疗组予以针刺百会、大椎、后溪、三阴交、太溪、悬钟穴，配合六味地黄加葛根方中药内服治疗；对照组予以六味地黄加葛根方中药内服治疗。连续治疗8星期观察临床疗效。结果治疗组总有效率为91.1%，治愈率为62.2%；对照组总有效率为77.3%，治愈率为34.1%；两组比较差异均有统计学意义(P＜0.05)，治疗组优于对照组。治疗组治疗后在眩晕程度、频度、持续时间、头痛、颈肩痛、生活工作量表差值变化均高于对照组(P＜0.05)。结论针刺特定穴配合中药治疗椎动脉型颈椎病(肝肾不足型)疗效优于单纯中药治疗。